1743 E Park Terrace ACRS18-0423 a MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS18-0423
ISSUED: 11/1/2018
CITY OF ATLANTIC BEACH EXPIRES:4/30/2019
INSPECTIONMUST CALL . 1904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM . THE CURRENT 6TH EDITIONr OF . • D• BUILDING
CODE, AND CITY OF • •
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county,and there may be additional permits required from other
governmental entities such as water management districts,state agencies,or federal agencies.
MECHANICAL RESIDENTIAL 3 Ton 36K BTU HVAC Unit $4453.00
1743 E PARK TER HVAC
TYPE OF ZONING: BUILDINGSUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0408 SELVA MARINA UNIT 08
COMPANY: ADDRESS:
JACKSONVILLE FL 32250
AIR SOURCE AMERICA INC 20720th stN BEACH
OWNER: ADDRESS:
Andrea Glass 1743 E Park Terrace Atlantic Beach FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION A[COUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-3221000 3 $2400
FURNACES AND HEATING 455 000P322-1000 36000 $2400
MECHANICAL BASE FEE 455-0000-3221000 0 $5500
STATE DBPR SURCHARGE 4550000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0
Issued Date: 11/1/2018 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845 p
JOB ADDRESS: 1743 PARK TERRACE DR PERMIT# / 1�.`,fS[ oo
—6423
PROJECT VALUE $4453 ARI#9155100 REQUIRED
_Air Handling Equipment Only _Air Handling Unit & Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 3
Heat: Unit Quantity 1 BTU's Per Unit 36,000_ Seer Rating 15
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevatom(Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be we and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority to violate the provisions of any other some or local law regulation construction or the performance of construction.
Property Owners Name ANDREA GLASS Phone Number 904424-3157_
Mechanical Company AIR SOURCE AMERICA Office Phone 904-233-8831 Fax 904-485-8788
Co. Address: 207 20th St N City Jacksonville Beach State FL_Zip 32250
License Holder(Print): Jason Buehler tate Certification/Registration#CAC 1816716
Notarized Signature of License Holder ^p _1�
c n' NICOLE seareaw Before me this�day of OC4-J Y 2-� 20\_
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Expires Fa9tuny 4,7012 Signature of Notary Public
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CERTIFIEM�
Certificate of Product Ratings
AHRI Certified Reference Number:9155200 Dale:10-05-2018 Modal Statue:Active
AHRI Type:HRCU-A-CB
Series:COMFORT15 HP
Outdoor Unit Brand Name:CARRIER
Outdoor Unit Model Number (Condenser or Single Package):25HBC536A-030*
Indoor Unit Model Number(Evaporator andlor Air Handier):FV4CN(B,F)005L
The manufacturer of this CARRIER product is reaponsible for One rating of this system combination.
Rated as follows in accordance with the latest edition of ANSVAHRI 210240 vnth Addends 1 and 2,Performance Rating of Unitary
Air-Conditioning 8 Air-Source Heel Pump Equipment and Subject to rating accuracy by AHRI-sponsored,independent,third parry testing:
Cooling Capacity(A2)-Single or High Stage(95F),blah:35000
SEER:15.00
EER(A2)-Single or High Stage(951b):12.50
Heating Capacity(H12)-Single or High Stage(47F):34200
HSPF(Region IV):8.50
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DISCLAIMER
AHRI does not endorse the produet(s)listed..,his Certificate and makes no repreandath s,warranties or guarantees as to,and assumes no resPon9billry br,
the pmewits)Hired Nis Cents...AHRI aepreasly discless all liability for damages of any kind arking out M Me use w performance M products), ma producor me
nauthalaed alteration M data listed on this CeNlicate.Certified ratings are valid only for model and configurations Ileted In the
TERS MwwwaNT bemurr.ar4
TERMS AND CONDITIONS Mr!
ThinCMMcate and Its canMMn are propdeMry Products of AHRI.mile Connivers shall only used for'=,.us personal endAIR
confidential reference purposes.The contents of this Certificate may nM,in whale or In part,be reproduces tbut
ed;tl4semineted;
entered late a computer database;or otherwise eniced.In arc/form or manna or by any means,eacept for the users lndiddua4 HEATMa,
pernonel and conadaMlel reference. MRLONOn1oXIXa,
•REFRIOERATIdN INSTITUTE
CERTIFICATE VERIFICATION
The Information for Me model cited on this oandficate can be verised at www.abriditectory.org,clld on'Verify Certificate'Ink —reay IJ<berter•
and enter the AHRI GunfireRMerance Number and the date on watch Me certificate was Issued.
Webb M These!show,and the Certificate No.,watch Is listed at halon dad. 13183217240070452
®2018AIr-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: